Individual provider Active NPI

Dijana Drincic

  • Dental Hygienist
  • Stratford, CA
National Provider Identifier
1447835665
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
25722 Issued in CA
Practice address
20326 Main St
Stratford, CA 93266-9326
Phone
(559) 386-4502
NPI assigned
Mar 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 25722 CA Primary

Addresses

Primary practice location

20326 Main St
Stratford, CA 93266-9326

Mailing address

668 W Orange St
Kingsburg, CA 93631-2689
Phone (559) 274-8870

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Stratford
CONNECT URL Stratford

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
25722CAMDDentist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1447835665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 W ORANGE ST",
            "city": "KINGSBURG",
            "state": "CA",
            "postal_code": "936312689",
            "telephone_number": "559-274-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20326 MAIN ST",
            "city": "STRATFORD",
            "state": "CA",
            "postal_code": "932669326",
            "telephone_number": "559-386-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRINCIC",
        "first_name": "DIJANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-10",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "25722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Stratford",
            "affiliation": "N",
            "address_1": "20326 Main St",
            "city": "Stratford",
            "state": "CA",
            "country_code": "US",
            "postal_code": "932669326",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Stratford",
            "affiliation": "N",
            "address_1": "20326 Main St",
            "city": "Stratford",
            "state": "CA",
            "country_code": "US",
            "postal_code": "932669326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stratford, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.